患者结果和医院护士的工作量:斯洛文尼亚医院的跨部门观察研究,使用RN4CAST调查
Brigita Skela-Savič1, Tit Albreht2, Walter Sermeus3
1Angela Boškin Faculty of Health Care, Spodnji Plavž 3, 4270 Jesenice, Slovenia.
Zdravstveno varstvo
|June 2, 2023
概括
高额注册护士 (RN) 工作量与患者死亡率的增加有关. 研究表明,对于每位RN的每位额外患者来说,死亡风险增加了6%,这凸显了斯洛文尼亚医院的严重人员短缺.
科学领域:
- 医疗保健研究的研究.
- 护理工作负载分析
- 对患者的安全性研究.
背景情况:
- 增加的护理工作量是影响患者结果和死亡率的重要因素.
- 医院的工作环境对患者的安全和整体医疗保健质量产生重大影响.
研究的目的:
- 调查斯洛文尼亚医院患者结果与护士工作条件之间的相关性.
- 量化护士人员数量对手术患者住院死亡率的影响.
主要方法:
- 分析斯洛文尼亚十个医疗机构2019年手术患者的行政出院数据.
- 利用RN4CAST调查问卷对1010名参与护士进行了调查,以收集有关工作条件的数据.
- 采用单变量,双变量和多变量统计方法来分析护士与患者的比率和死亡率数据.
主要成果:
- 手术患者的30天住院死亡率为1.00%,范围为0.27%至1.62%.
- 每个额外的病人分配给注册护士 (RN) 与30天住院死亡率的几率增加6%相关.
- 患者与RN的平均比率为15.56,明显超过了推水平.
结论:
- 斯洛文尼亚医院面临着严重的注册护士短缺,导致过度的工作量和高患者-注册护士比率,对医疗保健质量构成极端风险.
- 为减轻风险,建议在急性非紧急内科和外科病房每班每RN四名患者的推人数.
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